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In obstetrics, position is the orientation of the fetus in the womb, identified by the location of the presenting part of the fetus relative to the pelvis of the mother. Conventionally, it is the position assumed by the fetus before the process of birth, as the fetus assumes various positions and postures during the course of childbirth .
In obstetrics, Leopold maneuvers are a common and systematic way to determine the position of a fetus inside the woman's uterus. They are named after the gynecologist Christian Gerhard Leopold. They are also used to estimate term fetal weight. [1] The maneuvers consist of four distinct actions, each helping to determine the position of the fetus.
Sacrum anterior (SA)—the buttocks face anteriorly. Sacrum posterior (SP)—the buttocks face posteriorly. Shoulder presentations with transverse lie are classified into four types, based on the location of the scapula (shoulder blade). This presentation needs to be delivered by cesarean section. Left scapula-anterior (LSA) Right scapula ...
Childbirth positions (or maternal birthing positions) [1] are the physical postures that the pregnant mother may assume during the process of childbirth. They may also be referred to as delivery positions or labor positions .
McRoberts maneuver (1) in combination with suprapubic pressure (2) The McRoberts maneuver is an obstetrical maneuver used to assist in childbirth.It is named after William A. McRoberts, Jr. [1] It is employed in case of shoulder dystocia during childbirth and involves hyperflexing the mother's legs tightly to her abdomen.
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External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery.
The Rubin's II maneuver, usually performed after all other exterior maneuvers are exhausted (including McRoberts' and Gaskin's) is performed by inserting one hand vaginally behind the posterior aspect of anterior shoulder of the baby and rotating the shoulder towards the chest of the baby, shifting it from the anterior-posterior pelvic diameter ...